occupational therapy from an intercultural...
TRANSCRIPT
OCCUPATIONAL THERAPY FROM AN INTERCULTURAL PERSPECTIVE : REFLECTIONS
FROM DOUBLE REFLEXIVE ETHNOGRAPHY
I. Zango Martin and A. Björklund
INTRODUCTION
Global world
Occupational Therapy challenges
- Enable people from all streams of life, to engage and to participate in
valued occupations in their daily life (Iwama, 2011)
- Establish an occupational therapy from an intercultural perspective-
Multicultural contexts (Zango, 2013)
- Analyse construction and consolidation of knowledge in occupational therapy (Hammell, 2009, 2011)
INTRODUCTION
Culture-Absolute truths applicable to any human experience (Ibanez, 2001).
To be aware that the misunderstanding in health care intervention are mostly not related with client´s culture, but rather those of the occupational therapist (Hammell, 2009, 2011).
Reflexivity about the construction and consolidation of knowledge and its repercussions on occupational therapist´s professional practice within the multicultural contexts (Rudman and Dennhart, 2008).
AIM
To critical analyse occupational therapy theory and practice taking account perspectives from different contexts.
MATERIAL AND METHODS
- :
Double Reflexive Ethnography
Semantic dimensions Pragmatic dimensions Syntactic dimension
- Focused on the
actor
- To identity
discourses collected
through ethnographic
interviews from an
emic perspective
- Focused on the
modes of
interaction.
- To study praxis
through participant
observation from
an etic perspective
- Focused on
institutions
- To analyse social
structures through
intercultural
forum/workshops
from an emic/etic
perspective
Honduras
2004
Morocco
2005
Burkina Faso
2006/2008-
2010
Ecuador
2011Tanzania and
Zanzíbar 2007
MATERIAL AND METHODS
RESULTS
Semantic dimension analysis
• “Excuse me lady, do you think your occupational therapy makes sense here?” (Honduras, 2004)
Pragmatic dimension analysis
• ”They will explain what I need better than me” (Burkina Faso, 2009)
Syntactic dimension analysis
• ”My little girl, they are mountain wawas (children), that´s why they don´t play” (Ecuador, 2011)
CONCLUSIONS
Therefore, occupational therapists, as other professional cultures, need:
- To involve different perspectives in the process of knowledge construction. Co-reflection.
- To articulate an occupational therapy culture that recognizes different occupational therapy practices.
CONCLUSIONS
Occupational therapy not colonizing and not colonized:
Not colonizing occupational therapy, which does not impose its perspectives ignoring other cosmologies
Not colonized occupational therapy, that it will articulate his professional culture with an identity itself
CONCLUSIONS
Occupational therapy intervention should be a bridge to the social transformation taking account the practical experience in diverse cultural context.
APPLICATION FOR PRACTICE
- We suggest in intercultural approach the term ethnoccupation as an alternative to the ethnocentric concept of occupation.
- We need to consider a view of occupation in relation to economic, social and political aspects.
- We suggest to develop a narrative based occupational therapy.
THANKS FOR YOUR TIME!!
Responsibility emerges in dreams…When you share your
dream you share your responsibility.
We will continue dreaming to improve the occupational health without ignoring the perspectives
of people around this great diversity world.
RELATED REFERENCES
Zango, I. and Ulla, S. (2009) La vida diaria de las mujeres con VIH/sida enBurkina Faso, Alcalá la Real (Jaén): Alcalá Grupo Editorial.
Zango, I. (2010) Terapia Ocupacional en Burkina Faso: el viaje de la cultura,Monográfico sobre salud mental y exclusión social, vol. 53, p. ATENCIÓN.
Zango, I., Emeric, D. and Cantero, P. (2012) La cultura en la intervención deterapia ocupacional: escuchando otras voces, [Online], Available:http://www.revistatog.com/mono/num5/voces.pdf.
Zango, I. and Moruno, P. (2013) Doubly reflexive ethnography: contributionsto the construction of occupational therapy from an intercultural perspective,AIBR Revista de Antropología Iberoamericana, vol. 8, no. 1, pp. 9-48.
Zango Martín I, Flores Martos JA, Moruno Millares P, Björklund A (2015)Occupational Therapy culture though the multifocal lens of fieldwork in diverserural areas. Scand J Occup Ther, ( 22), p. 82-94.